Bait and Switch - page 2

So I feel like I've been lied to, like I definitely took the bait hook, line and sinker. And it's a bad feeling. I wanna run go find another job, but there's always the possibility that I'm being... Read More

  1. by   clemmm78
    Quote from puggymae
    Many years ago I used to work nights on an OB/Womens Health Floor with 23 beds - it would be me as the RN, an LPN, and an aide. Nursing was different then, I certainly couldn't work like that now - Patients that used to be in ICU or CCU are now on the regular floor, things have to be documented in 4 or 5 places, with the OMNICEL you have to go back to the nurses station to get the meds for each patient rather than taking the med cart room to room. (And back then I walked up hill 5 miles to work each way ).
    No kidding though - if you don't like the way the staff is done, you need to get another job. Nobody will ever look out for you - except for you.
    I feel like such a hick asking these questions. What is an OMNICEL?
  2. by   clemmm78
    Quote from RNsRWe
    tech=patient care tech, who may or may not be a CNA. We call them "PCT"s, patient care techs in our facility because they oftentimes are NOT CNAs, just trained by the hospital to use the dynamaps and do basic move-and-wash patient care.
    Ah, ok. Here, they used to be Nurse's aides or orderlies, depending on the gender of the caregiver. Now they are PABs, the French acronym for patient beneficiary attendants.
  3. by   CritterLover
    i think part of the op's concern is that day shift tends to have 3 patients apiece.

    indy, is this tele unit more of a step-down?

    i worked icu stepdown as a new grad, and we had 3-4 patients on days and 4 patients each on nights. i worked nights.

    it would seem as though if the acuity mix is heavy enough to require 1 nurse for every 3 patients on day shift, then to have 6 patients per nurse on nights is excessive.

    like the other posters, i tend to see 7-9 patient assignments on most tele/non-step down units in my area. i don't know how those nurses do it. i sure couldn't. :stone
  4. by   RNsRWe
    Quote from clemmm78
    Ah, ok. Here, they used to be Nurse's aides or orderlies, depending on the gender of the caregiver. Now they are PABs, the French acronym for patient beneficiary attendants.
    Isn't it funny all the different terms we use to say the same thing? Here "orderlies" are the people (male or female) who are on call for the whole hospital as Go-fers: you know, the people who "go fer this" or "go fer that". Need heel protectors, saline bags, a box lunch and there's none on your unit? Call the orderly! Maybe it's different in different places, but that's the system in my area.

    Not sure why we don't call care techs 'nurse's aides'; probably has to do with the same reason office secretaries are now administrative assistants and hospital unit secretaries are now unit coordinators. Upping the prestige of the title while keeping the job the same

    Now, if they'd only call me a Med-Surg Goddess.
  5. by   nurse_drumm
    Ahhhh, Indy....

    I'm sorry, but I had to breath a nice sigh of relief for you and your patient load. Unfortunately, I'm pretty sure you're not going to get any better staffing than what you've got at present.... I could only wish for a load like that. I work on a busy med/surg floor with consentrations in orthopedics and oncology (no, there's no tele). Granted, we don't have tele monitors buzzing in our ears all night long, but what we DO have, are many dementia/alzheimers patients with broken hips, people of all ages with knee replacements, broken legs, arms, what have you.... running chemotherapy, AND all the rest of the med/surg stuff including multiple COPD'rs. Let me just tell you, anyone who works an orthopedic unit knows about all the equipment that comes along with them (CPM machines, Iceman machines, walkers, ice bags, sequential stockings, avi boots, etc...). Lately, it seems all of our confused patients are really especially whacked and constantly trying to climb OOB.... Is there a continual full moon out there?

    Okay.... the problem is, our unit is set up like a huge L, and we put a gazillion miles on our feet every night (God bless my bath tub and massages from the hubby).

    Staffing?? Yeah, right. We have 25 beds on our unit (which is almost always full lately) and is staffed by, ready for this???
    3 RN's.
    That's it.
    No LNA, Tech, CNA, Orderly, or the like. Just the 3 of us. Every night. We do it all, and frankly, I'm pooped! We have 8, 9, or even 10 patients, EVERY night, and when one of us calls in (which is rarely, thank God), you guessed it..... I've had 14 patients before. More than once.

    Soooo...... You'll have to accept my apologies for your nurse/patient ratio. I feel your pain, but I'm guessing the grass isn't greener on the other side of the nurses station. If you like what you do, I wouldn't quit.... all you can do is your best. Remember, you're there for the patient.... they need you. If you're not there, who will be???

    (Or you can go on Prozac like I did.... LOL LOL LOL) Just kidding.....
  6. by   Ruby Vee
    when i did tele on the night shift (a quarter of a century ago) we had 30 patients, two nurses and an aide sometimes. your staffing sounds like heaven compared to that!

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